CAJ | 학술논문

目的分析腓骨不同部位切除对胫腓下联合形态的不同影响,探讨腓骨截取的最佳部位,为临床科学合理地应用腓骨提供理论依据.方法选取10具身高172～176 cm、腓骨长约36 cm的成人男性防腐尸体,制作20例成人小腿-足踝标本,分别测量、分析腓骨完整时和在腓骨下1/6、下1/4、下1/3、1/2点处分别向近侧切除10 cm长腓骨情况下对胫腓下联合形态的改变.结果腓骨完整时,胫腓下联合移位值为(0.30±0.10)mm;在腓骨下1/6点处向近侧切除10cm长腓骨后,胫腓下联合移位值与腓骨完整时相比变化显著,为(0.54±0.20)mm(P＜0.05);在腓骨1/2点处向近侧切除同样长腓骨后,胫腓下联合移位值与腓骨完整时相比变化不明显,为(0.31±0.20)mm(P＞0.05).结论腓骨最佳截取部位在腓骨1/2点处的近侧段.
목적 분석비골불동부위절제대경비하연합형태적불동영향,탐토비골절취적최가부위,위림상과학합리지응용비골제공이론의거.방법 선취10구신고172～176 cm、비골장약36 cm적성인남성방부시체,제작20례성인소퇴-족과표본,분별측량、분석비골완정시화재비골하1/6、하1/4、하1/3、1/2점처분별향근측절제10 cm장비골정황하대경비하연합형태적개변.결과 비골완정시,경비하연합이위치위(0.30±0.10)mm;재비골하1/6점처향근측절제10cm장비골후,경비하연합이위치여비골완정시상비변화현저,위(0.54±0.20)mm(P＜0.05);재비골1/2점처향근측절제동양장비골후,경비하연합이위치여비골완정시상비변화불명현,위(0.31±0.20)mm(P＞0.05).결론 비골최가절취부위재비골1/2점처적근측단.
Objective To investigate the different effects of different resection position of fibula on shape of tibiofibular syndesmosis,and explore the best position of cut fibula,providing reference for clinical surgeon to use fibula reasonably.Methods Ten adult male cadaverie specimens 172-176 cm long were used for 20 shank-ankle specimens.10 cm long fibula was cut proximally at the lower point 1/6,lower point 1/4,lower point 1/3,middle point 1/2 respectively,which was compared with the nornlal one to analyze the changes of shape of tibiofibular syndesmosis.Results Normally,the distance oftibiofibular syndesmosiswas(0.30±0.10)mm.Underthe condition of cut at the lower point 1/6,the distance of tibiofibular syndesmosis was enlarged[(0.54±0.20)mm](P＜0.05).In contrast,under the condition of cut 10 cm long fibula proximally at the middle point 1/2.the distance of tibioffbu1ar syndesmosis hadlittle effect[(0.31±0.20)mm](P＞0.05).Conclusion The best resection position of fibula is in the proximity of the fibula at the point 1/2.